197610370-3-27-2026-31-AS-NMAN-DU2W27-20260513165353

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610370
Report Date: 03/27/2026
Date Signed: 03/27/2026 03:21:39 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/19/2026 and conducted by Evaluator Raymond Comer

COMPLAINT CONTROL NUMBER: 31-AS-20260319124118

FACILITY NAME:	MELROSE GARDENS		FACILITY NUMBER:	197610370
ADMINISTRATOR:	VILLEGAS, MARCO		FACILITY TYPE:	740
ADDRESS:	960 N. MARTEL AVENUE		TELEPHONE:	(323) 876-1746
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	100	CENSUS: 55	DATE:	03/27/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Joseph "Yossi" Wieder - Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff do not ensure resident's hygiene needs are met.

INVESTIGATION FINDINGS:

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On Friday, 03/27/26, Licensing Program Analyst, (LPA) Raymond Comer, conducted an initial 10-day complaint visit to investigate the above allegation. LPA presented official CDSS identification badge, met with the Administrator, and reason for the visit was disclosed.

At 9:45 am, LPA conducted a physical plant tour; no health and safety issues were observed.

To investigate the allegation, Between 10:45 am and 11:50 am, LPA received and reviewed Facility Resident roster, Personnel roster, Resident#1 (R1) Physician Report, Appraisal/Needs & Services Plan, and other pertinent documentation. Between 12:30 pm, and 2:15 pm, LPA interviewed the Administrator, R1's Responsible family member (F1) and Six (6) Residents.

[LIC 9099C] Continued-

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20260319124118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: MELROSE GARDENS	FACILITY NUMBER: 197610370
	VISIT DATE: 03/27/2026

NARRATIVE

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Allegation: Staff do not ensure resident's hygiene needs are met.
Reporting Party (RP) alleges that resident#1 (R1) had not been bathed, nor teeth brushed for several days to weeks. RP states that when R1's responsible family member inquired about this issues to staff, they claimed that the R1 was completing these tasks independently, and not being provided required assistance as per R1's care plan.
LPA's interview with Administrator revealed the following: R1 is largely independent and does not require bathing, nor tooth brushing hygiene assistance by staff; they are only instructed to provide "reminder cues" to R1 to encourage bathing and tooth brushing tasks are completed. In addition, Administrator has instructed staff to assist R1 with hygiene assistance to ensure satisfactory health outcomes for R1.
LPA's records review of R1's file revealed the following: R1's physician's report (LIC 602) shows that R1 is able to bathe, groom, and care for their own toileting needs. Preplacement appraisal documentation shows that R1 does not require assistance with bathing, hair care, toileting, or personal hygiene; only "reminders" from staff. Resident appraisal show same instruction for staff to provide R1 "reminders" only. R1's needs and service plan shows R1 is "independent in all her ADL's and is encouraged by staff to do so".
LPA interview with R1's responsible family member (F1) revealed the following: F1 is satisfied with the level of staff assistance, care and supervision provided by staff and has no concerns regarding R1.
LPA interviewed (6) out of fifty-five (55) residents, which revealed the following: Five (5) out of six (6) residents interviewed stated they are satisfied with staff's assistance and service provision and had no health/safety concerns.

Overall, LPA's investigation concludes there was not sufficient evidence to verify staff are neglecting R1's hygiene needs. Therefore, based on interviews, records review, and LPA observation, the allegation is UNSUBSTANTIATED at this time.

Exit interview was conducted and a copy of report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Raymond Comer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2026

LIC9099 (FAS) - (06/04)

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